NPIMap

Organization Active NPI

Gardner Adult Day Health Care

  • Adult Day Care Clinic/Center
  • San Jose, CA
National Provider Identifier
1245540426
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
070000200 Issued in CA
Legal business name
GARDNER ADULT DAY HEALTH CARE
Practice address
130 N Jackson Ave
San Jose, CA 95116-1907
Phone
(408) 918-2682
Fax
(408) 278-7799
NPI assigned
Oct 20, 2010
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
GARDNER FAMILY HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ofelia Ruiz
Title
Director
Phone
(408) 935-3971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 070000200 CA Primary

Addresses

Primary practice location

130 N Jackson Ave
San Jose, CA 95116-1907

Mailing address

130 N Jackson Ave
San Jose, CA 95116-1907

National Provider Directory

National Provider Directory
Tax ID family
Family Health Fndtn Alv33 organizations share this tax ID, including this one
Part of
Family Health Fndtn Alv

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

130 N Jackson Ave
San Jose, CA 95116
Phone (408) 260-5579

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1245540426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N JACKSON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N JACKSON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161907",
            "telephone_number": "408-918-2682",
            "fax_number": "408-278-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER ADULT DAY HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARDNER FAMILY HEALTH NETWORK",
        "enumeration_date": "2010-10-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "OFELIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-935-3971"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "070000200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.